Las Vegas Foot Specialist, Inc

LBN: Las Vegas Foot Specialist, Inc
Las Vegas Foot Specialist, Inc is an health care organization with primary practice located at 109 Railroad Ave , Las Vegas NM 87701-3853. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Las Vegas Foot Specialist, Inc can be contacted via phone (505) 425-9491, or through Andersen, Bruce A via phone (505) 425-9491.

Contact Information

Primary practice address
109 Railroad Ave Las Vegas NM 87701-3853
Phone: (505) 425-9491
Fax: (505) 454-8171
Website:
Map and Directions
Authorized official contact:
Name: Andersen, Bruce A Doctor of Podiatric Medicine (DPM)
Phone: (505) 425-9491

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 163 New Mexico

Profile Details

NPI number 1184632929
LBN Legal business name Las Vegas Foot Specialist, Inc
DBA Doing business as
Authorized official Andersen, Bruce A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated May 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184632929 NPPES
New Mexico MEDICAID Q2055
New Mexico Other 10478
New Mexico Other 5351

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